RESUMEN
Sertoli cell only syndrome (SECOS) was identified on histology in 21 cases (16,28%) among 129 testicular biopsies performed in our department for azoospermia over the last 5 years. In these patients history, clinical features, hormonal levels, and histological findings were analyzed. In addition DNA flow-cytometric analysis was performed and showed an almost complete absence of haploid cells. All patients presented with elevated serum FSH levels suggesting a Sertoli cell damage or reduced production of inhibin due to the absence of sermatogenic cells. An good correlation was found between histological findings and DNA histograms. In conclusion SECOS is a syndrome of unknown aetiology presenting in men with azoospermia. DNA flow-cytometric analysis is a reliable, rapid and easy method in the diagnosis of SECOS, and can replace histological examination.
Asunto(s)
ADN/análisis , Oligospermia/patología , Células de Sertoli/patología , Testículo/patología , Adulto , Biopsia con Aguja , Técnicas de Cultivo , Citometría de Flujo , Humanos , Masculino , Persona de Mediana Edad , Oligospermia/diagnóstico , Estudios Retrospectivos , Sensibilidad y Especificidad , SíndromeRESUMEN
We present five cases of tuberculous prostatitis. In all cases this was an incidental histologic finding after transurethral prostatectomy. The patients were all treated with an antituberculous drug regimen. A literature review of this rare condition is included.
Asunto(s)
Prostatitis/diagnóstico , Tuberculosis de los Genitales Masculinos/diagnóstico , Anciano , Humanos , Masculino , Persona de Mediana Edad , Prostatitis/complicaciones , Prostatitis/diagnóstico por imagen , Tuberculosis de los Genitales Masculinos/complicaciones , Tuberculosis de los Genitales Masculinos/diagnóstico por imagen , Tuberculosis Miliar/complicaciones , Tuberculosis Miliar/diagnóstico por imagen , Ultrasonografía , UrografíaRESUMEN
A case of rupture of a false aneurysm of the distal aorta into the left ureter is reported. The patient presented with purulent hydronephrosis and hematuria. A left aorto-femoral graft had been inserted 3 years earlier, which became infected and was then removed. After 2 years a false distal aortic aneurysm developed, and in the last 6 months recurrent episodes of hematuria have occurred. An aorto-ureteric fistula was confirmed at surgery, and a left nephrostomy was performed with proximal and distal ligation of the ureter and then aneurysmectomy followed by aorto-bifemoral bypass.
Asunto(s)
Aneurisma de la Aorta Abdominal/complicaciones , Rotura de la Aorta/complicaciones , Enfermedades Ureterales/complicaciones , Fístula Urinaria/complicaciones , Fístula Vascular/complicaciones , Aorta Abdominal , Enfermedades de la Aorta/complicaciones , Humanos , Masculino , Persona de Mediana EdadRESUMEN
INTRODUCTION: This study was performed in order to evaluate the immediate and long-term outcome of patients undergoing extracorporeal shock wave lithotripsy (ESWL) for isolated lower pole calculi. METHODS: Three hundred and seventy renal units of 350 patients (240 men and 110 women; mean age 55 years) with isolated lower pole renal stones of smaller than 2 cm2 were studied. Follow up ranged from 1 to 52 months (mean, 15 months) to time of censorship, significant period of secondary urologic evaluation. RESULTS: Out of 370 renal units in 350 patients, 212 (57, 29%) were stone-free 1 month after ESWL and 21 (5.67%) spontaneously became stone-free within another 1-52 months (mean, 15 months). Intervention was required after 1-52 months (mean, 17.5 months) and accomplished by ESWL alone (30/350 patients 8.57%) or combined with retrograde endoscopy (10/350 patients 2.85%) while retrograde manipulation was necessary in two of the 350 patients (0.57%). CONCLUSION: Extracorporeal shock wave lithotripsy is the initial treatment of choice in patients with lower pole stones < 2 cm2, because the overall stone-free rate is acceptable and because even in the residual calculi, the risk of suffering symptomatic episodes requiring secondary intervention is low.